Zhang R L, Zeng J S, Zhang H Z
Department of Pediatrics, Shanghai Second Medical University.
Chin Med J (Engl). 1990 Jul;103(7):552-5.
Thirty-four pregnant women with hepatitis A and their neonates were investigated on serum anti-HAV IgM, ALT (GPT) and clinical manifestations (with 34 randomized controls) during the outbreak of viral hepatitis A in Shanghai. The result showed no evidence of maternal-infant transmission of hepatitis A, and no birth defect was found. Sufficient rest and proper diet for and close surveillance of the pregnant woman were suggested to ensure the well-being of mother and child. In addition, we found immune gamma-globulin given to the neonates born of mothers with hepatitis A may be beneficial to avoid horizontal transmission of hepatitis A.
在上海甲型病毒性肝炎暴发期间,对34例甲型肝炎孕妇及其新生儿进行了血清抗甲型肝炎病毒IgM、丙氨酸转氨酶(GPT)及临床表现的调查(并设34例随机对照)。结果显示无甲型肝炎母婴传播的证据,也未发现出生缺陷。建议对孕妇给予充分休息、合理饮食并密切监测,以确保母婴健康。此外,我们发现给甲型肝炎母亲所生新生儿注射免疫球蛋白可能有助于避免甲型肝炎的水平传播。